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Individual
DR. RUSSELL LEWIS GOMBOSI
Active
Individual
DR. RUSSELL LEWIS GOMBOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD043621L
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD043621L
PA
208000000X
Pediatrics Physician
MD043621L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1866448
UNITEDHEALTHCARE
PA
01
—
191328
HIGHMARK BLUE SHIELD
PA
01
—
4626556
AETNA
PA
Enumeration date
08/09/2006
Last updated
12/02/2025
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